Professional Documents
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12-AG-29-GE-TRC-B/C Training Course on Organic Product Certification and Auditing A. PERSONAL DATA Passport
NAME
(Please type your name as indicated in your passport. Underline surname / family name. Include Chinese character, if any) NATIONALITY PRESENT POSITION NAME OF COMPANY/ ORGANIZATION ADDRESS OF THE COMPANY/ ORGANIZATION
URL: http:// www.bsti.gov.bd Address: 116-A TEJGAON INDUSTRIAL AREA, DHAKA-1208, BANGLADESH.
STANDARDS FORMULATION, TESTING SERVICES, PRODUCT CERTIFICATION, CALIBRATION AND METROLOY SERVICES Govt ministry/ University/ In case of Agency Institutions Private company:
593
Non-SME Govt/ State/ Local govt NGO/ Owned Enterprise Association Tel (home): X Mobile Phone (Optional): +88 01712131187 Email (Important): nozir_bsti@yahoo.com Name: JAHORA SIKDER WIFE Address: Assistant Director (Standard), BSTI, Dhaka Tel: +88 02 8870283, +88 02 8870288 Email: emnislam.bd@gmail.com If any, please specify: X Relationship: Fax: +88
02 9131581
(Kindly be informed that this bio-data form must be submitted and processed through National Productivity Organization (NPO) of the respective member country. Forms, sent directly to the APO Secretariat would be neither processed nor acknowledged. A soft copy of the form could be downloaded from the APO website at www.apo-tokyo.org.)
PBF-M 2007
Revised on 7 July
B. University/Institution
(Bachelor and post graduate only)
Year
28-29Mar, 2007 02-06April,2008 22-23 June,2008 17-20 July,2008 23-26 May,2010 18-22 July,2011
PROJECT
DATES
YEAR
A. I am doing job as an Assistant Director in certification mark wing in Bangladesh Standards and Testing Institution (BSTI), Dhaka under product certification scheme. My major job is supervising of inspecting officers; make inspection schedule/ program and evaluation of inspection & product (especially food and chemical) testing report with respect of relevant specification/ requirements and recommendation for the decision of certification. Product certification system of BSTI is accredited by NABCB, India. My additional responsibility is as deputy quality manager of product certification scheme under accreditation scope (food product), which operates as per International Standard ISO/IEC Guide-65. B. I also engaged as a lead auditor in the area of food safety management system (ISO 22000:2005) in management system certification cell of BSTI since 2009 and have experience in consultancy service among the fish, beverage and baking product producing plant in Bangladesh for getting ISO 22000:2005 and HACCP certificate under SMTQ project of UNIDO. C. I conducted training on GMP GHP, HACCP and Technique of Inspection of field officer who are involved with food inspection. Very recently I submitted my Ph.D thesis of Study on the Food Technological Aspects of SME food industry in Bangladesh.
Name of Organization.
Field Officer(CM) Certification Mark wing, (Major job: factory inspection, sampling, Bangladesh Standards and surveillance of any chemical or food Testing Institution (BSTI). industries as per product standards (BDS). As per ISO/IEC Guide-65 inspection and product certification operations/ activities started from January, 2010 and my role was as an inspecting officer and then senior inspecting officer.)
Have two years previous job experience in the field of Pharmaceuticals and two years in Beverage Industries.
G.
Kindly refer to Project Notification, and state relevancy of project to your work, and indicate your
expectation (s) from the project. BSTI is national standards formulation and product certification body. There are many national food standards/ specifications and guidelines. So the knowledge gathered from the training will helpful to implement the Organic Product Certification process in our country through the activities of this institution. 2. To understanding organic standard & certification program and process. 3. To acquire knowledge and skills to perform audit according to the common objectives & requirements of organic standards, the International Federation of Organic Agricultural Movement standard requirements. 4. To build up competency of inspectors and auditors in organic certification and auditing in Bangladesh.
1.
H. DECLARATION BY CANDIDATE
I hereby declare that I have read and understood the APO Project Notification for this project. I further declare that the information as provided by me in this document is true and accurate. I understand and accept that any false declaration of information on my part will disqualify me from the project, even when it is in progress. I hereby also undertake to abide by the regulations prescribed by the APO, the host country(ies), and the implementing organization(s) during the entire period of this project, and to participate fully in it.
The candidates English Language proficiency has been evaluated as follows:As fluent as the candidates native language. Competent to participate in discussion and express himself. Proficient enough to follow lectures/discussions, but will have difficulties in expressing ideas and giving comments. I further certify that the candidate belongs to: SME Profit making organization (non-SME) Non-profit making organization
HIRAKAWACHHO DAIICHI SEIMEI BUILDING 1-2-10 HIRAKAWACHO, CHIYODA-KU, TOKYO TOKYO 102-0093, JAPAN TEL : (813) 5226-3920 FAX : (813) 5226-3950
APO MEDICAL AND INSURANCE DECLARATION FORM Only for Applicant without any of the Health Conditions listed on the Reverse Side 1. NAME (last name, first name, middle name) MIAH MD. NOZIR AHMMOD 2. DATE OF BIRTH 3. NATIONALITY 4. SEX ( ) Male ( ) Female
16 SEPTEMBER, 1969 BANGLADESHI 5. APO PROJECT CODE AND NAME (VENUE) 12-AG-29-GE-TRC-B/C, Colombo, Sri Lanka I hereby declare that :
a. I have read carefully the Project Notification of the above APO project and declare that I have the physical and mental fitness to attend the APO project;
b. I have had no health conditions listed on the reverse side during the last 5 years and am free from any ailment likely to impair the health of others or affect my participation in the APO project; c. I shall secure the required comprehensive travel insurance as specified in the Project Notification of the above APO Project; d. I understand that neither APO nor the implementing organization shall be liable for any medical or other costs incurred during the project, except for those specifically stated in the Project Notification; and e. I shall bring with me the necessary medicines for minor illness as prescribed by my physician since they may not be readily available at the venue of the above APO project. I affirm this declaration on medical and insurance requirements of the APO project as specified in the Project Notification. 25.04.2012 Date Applicants Signature
APO MEDICAL AND INSURANCE CERTIFICATION FORM Only for Applicant having any of the Health Conditions stated under item. 6 below 1. NAME (Last name, first name, middle name) 2. DATE OF BIRTH 5. 3. NATIONALITY 4. SEX ( ( ) Male ) Female
6. Please indicate Yes or No if you had ever had any of the following during the YES NO last 5 years : a. Tuberculosis, asthma, emphysema, or other lung illnesses b. High blood pressure, heart by-pass, heart attack or other heart diseases c. Stomach ulcer, liver (hepatitis), gall bladder disease d. Kidney problem, stone or blood in urine e. Diabetes, sugar or glucose in blood or urine f. Depression, attempted suicide, or other psychological symptoms g. Tumor, abnormal growth, cyst or cancer h. Bleeding disorder, blood disease (sickle cell anemia) i. Malaria, Cholera, small pox or epidemic disease j. Allergy k. Other serious illnesses (Please specify) I certify that the above information is true and correct to the best of my knowledge. I understand that neither APO nor the implementing organization shall be liable for any physical or mental problem that I may develop during my participation in the APO project and that I shall be responsible for bringing with me necessary medicines as prescribed by my physician since they may not be available at the venue of the project. Further, I understand that I shall have to secure the required comprehensive travel insurance as specified in the project Notification of the above APO Project.
Date
Applicants Signature
TO BE COMPLETED BY A MEDICAL DOCTOR Based on above given information, I have examined the above applicant and certify that he/she is free from any ailment likely to impair the health of others and fit to participate in the APO project referred to in this form. Hospital/Clinics Name Examiners Name & Title Examiners Signature Remarks, if any : : : : Date :